학술논문
Implementing the package of CDC and WHO recommended linkage services: Methods, outcomes, and costs of the Bukoba Tanzania Combination Prevention Evaluation peer-delivered, linkage case management program, 2014-2017.
Document Type
article
Author
Duncan MacKellar; Haruka Maruyama; Oscar Ernest Rwabiyago; Claire Steiner; Haddi Cham; Omari Msumi; Rachel Weber; Gerald Kundi; Chutima Suraratdecha; Tewodaj Mengistu; Johnita Byrd; Sherri Pals; Eliufoo Churi; Caitlin Madevu-Matson; Kokuhumbya Kazaura; Fernando Morales; Thomas Rutachunzibwa; Jessica Justman; Anath Rwebembera
Source
PLoS ONE, Vol 13, Iss 12, p e0208919 (2018)
Subject
Language
English
ISSN
1932-6203
Abstract
Although several studies have evaluated one or more linkage services to improve early enrollment in HIV care in Tanzania, none have evaluated the package of linkage services recommended by the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO). We describe the uptake of each component of the CDC/WHO recommended package of linkage services, and early enrollment in HIV care and antiretroviral therapy (ART) initiation among persons with HIV who participated in a peer-delivered, linkage case management (LCM) program implemented in Bukoba, Tanzania, October 2014 -May 2017. Of 4206 participants (88% newly HIV diagnosed), most received recommended services including counseling on the importance of early enrollment in care and ART (100%); escort by foot or car to an HIV care and treatment clinic (CTC) (83%); treatment navigation at a CTC (94%); telephone support and appointment reminders (77% among clients with cellphones); and counseling on HIV-status disclosure and partner/family testing (77%), and on barriers to care (69%). During three periods with different ART-eligibility thresholds [CD4